{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:34Z","timestamp":1753877194264,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T00:00:00Z","timestamp":1735171200000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Scientific Research and Cultivation Project of Meizhou People\u2019s Hospital","award":["PY-C2019023"],"award-info":[{"award-number":["PY-C2019023"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Palmoplantar hyperhidrosis is a functional disease with an unknown pathogenesis, making it challenging to find a lasting and effective treatment. This article reports a case of a 43-year-old patient with palmoplantar hyperhidrosis treated with computed tomography (CT)-guided radiofrequency neurotomy (RFN) of bilateral T3\u20134 sympathetic chain combined with bilateral L3 sympathetic ganglion. The optimal puncture level and skin entry point were selected, and measurements were taken using a CT tool to determine needle depth, angle, and distance from the midline. A sympathetic needle was inserted through the T4 intercostal space to the outer side of the T4 rib head. The needle position was adjusted to achieve a tissue resistance, confirmed through sensory, motor stimulation, and three-dimensional reconstruction. RFN was performed, and this process was repeated for 1\u20132\u00a0cycles. Subsequently, a similar procedure was performed at the L3 sympathetic ganglion under CT guidance, resulting in improved sweating symptoms in the patient\u2019s hands and feet.<\/jats:p>","DOI":"10.1093\/jscr\/rjae808","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T20:26:34Z","timestamp":1735244794000},"source":"Crossref","is-referenced-by-count":0,"title":["CT-guided radiofrequency neurotomy (RFN) of bilateral T3\u20134 sympathetic chain combined with bilateral L3 sympathetic ganglion in patient with palmar hyperhidrosis"],"prefix":"10.1093","volume":"2025","author":[{"given":"Shangdao","family":"Lai","sequence":"first","affiliation":[{"name":"Department of Pain, Meizhou People's Hospital , 514031 Meizhou, Guangdong ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Yuan","sequence":"additional","affiliation":[{"name":"Graduate School, Guangdong Medical University , 524023 Zhanjiang, Guangdong ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bing","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Pain, Affiliated Hospital of Jiaxing University , 314000, Zhejiang ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiongfeng","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pain, Meizhou People's Hospital , 514031 Meizhou, Guangdong ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanzhong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pain, Meizhou People's Hospital , 514031 Meizhou, Guangdong ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiqiang","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Pain, Meizhou People's Hospital , 514031 Meizhou, Guangdong ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuquan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pain, Meizhou People's Hospital , 514031 Meizhou, Guangdong ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feiran","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Pain, Meizhou People's Hospital , 514031 Meizhou, Guangdong ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,12,27]]},"reference":[{"key":"2024122620262381800_ref1","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1111\/pde.14551","article-title":"Primary hyperhidrosis in children: a review of therapeutics","volume":"38","author":"Remington","year":"2021","journal-title":"Pediatr 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